Entity Name: | WITCORF, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 26 Jun 1996 (29 years ago) |
Document Number: | P96000054951 |
FEI/EIN Number | 650676146 |
Address: | 1085 KANE CONCOURSE, BAY HARBOR Island, FL, 33154, US |
Mail Address: | 1085 Kane Concourse, Bay Harbor Islands, FL, 33154, US |
ZIP code: | 33154 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790706984 | 2006-07-22 | 2020-08-22 | 1085 KANE CONCOURSE, BAY HARBOR ISLANDS, FL, 331542105, US | 1085 KANE CONCOURSE, BAY HARBOR ISLANDS, FL, 331542105, US | |||||||||||||||||||
|
Phone | +1 305-962-7155 |
Fax | 3058615558 |
Authorized person
Name | MRS. LISHKA C. WITTELS |
Role | ASSISTANT ADMINISTRATOR |
Phone | 3053681755 |
Taxonomy
Taxonomy Code | 273Y00000X - Rehabilitation Hospital Unit |
License Number | 104876 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MARCUS ALAN J | Agent | 20803 BISCAYNE BLVD., NORTH MIAMI, FL, 33180 |
Name | Role | Address |
---|---|---|
WITTELS MICHAEL B. M.D | Director | 1085 KANE CONCOURSE, BAY HARBOR, FL, 33154 |
Name | Role | Address |
---|---|---|
WITTELS MICHAEL B. M.D | President | 1085 KANE CONCOURSE, BAY HARBOR, FL, 33154 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State